VersaCell® X3 Solution with ADVIA® 1800 Chemistry System Connectivity Online Training

Welcome to the VersaCell® X3 Solution with ADVIA® 1800 Chemistry System Connectivity Online Training course. The goal of this course is to familiarize the operator with aspects of operation that are unique when the VersaCell X3 system is connected to an ADVIA 1800 system. Select Next to continue.   Describe how to run QC and patients Identify the steps of the tube journey List the causes of common errors List the steps to perform startup Upon successful completion of this course you will be able to: Select Next to continue. Congratulations.  You have completed the VersaCell X3 Solution with ADVIA 1800 Chemistry System Connectivity Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. Identify the steps of the tube journey The steps in the tube journey include: The robotic arm scans the tube barcode and transfers the tube to the interface wheel The VersaCell X3 system sends the order to the ADVIA 1800 system  The ADVIA 1800 DPP aspirates sample from the tube on the interface wheel The tube is returned to a drawer by the robotic arm The results are sent from the ADVIA 1800 system to the VersaCell X3 system, and then to the LIS   List the steps to perform startup Startup features unique to the VersaCell X3 solution with ADVIA 1800 chemistry system connectivity: From the ADVIA 1800 software, the Outside Analyze option must be selected from the Start Conditions window.  The ADVIA 1800 Host must be on for results to transfer to the VersaCell X3 system. On the VersaCell X3 Home screen, the ADVIA 1800 system status remains "Not Connected" until the software is started and the Outside Analyze Start option is selected. Describe how to run QC and patients Controls:  Control samples should be placed on the ADVIA 1800 system and processed using the Start Conditions window in the ADVIA 1800 software. Unresulted control test orders do not display on the VersaCell X3 Test Results screen.  The test appears on the VersaCell X3 system Test Results screen when it results. The operator must monitor the status of in progress control test orders from the ADVIA 1800 RealTime Monitor screen. Patients:  Patient samples may be loaded in a VersaCell X3 system drawer or loaded directly on the ADVIA 1800 system. The VersaCell X3 Test Results screen will display orders and results for tests ordered from the LIS. The VersaCell X3 Test Results screen will display only results for tests ordered from the ADVIA 1800 software. Repeat and Reflex Tests The ADVIA 1800 Chemistry system will run repeat and reflex testing on the original aliquot for all samples except for electrolytes.  Electrolyte samples are pipetted exclusively from primary tubes.  If a repeat or reflex test is ordered for an electrolyte on a tube on the VersaCell X3 system, the operator can use the Resend button on the VersaCell X3 system Samples screen to have the robotic arm bring the tube back to the interface wheel. Once the test has completed, the results for the repeat/reflex tests will be sent to the VersaCell X3 system. The Test Results screen does not display interim information for the sample before it results. The VersaCell X3 system sends the results to the LIS. Manual Orders If a test order is manually ordered on an ADVIA 1800 system, you can either manually load the tube on the ADVIA 1800 system OR load the tube in a VersaCell X3 system drawer and then use the Resend button on the Drawer screen to send the tube to the ADVIA 1800 system interface wheel. Tests ordered manually at the ADVIA 1800 system are not displayed on the VersaCell X3 system. Only results are displayed. The VersaCell X3 system sends test results to the LIS. List the causes of common errors Causes of common errors with the ADVIA 1800 system connection include: Assay Errors: Missing reagent Problems with the reagents Sample Errors:  Insufficient sample Sample with integrity errors When ADVIA 1800 system assay and sample errors post on the VersaCell X3 system, resolve them following the standard procedures for resolving these errors.  Refer to the VersaCell X3 System Troubleshooting Online Training course and the VersaCell X3 Solution Operator's Guide for more information. Error Stopped Status The ADVIA 1800 system status will display "Error Stopped" under the following conditions: The ADVIA 1800 emergency stop was selected. A consumables error occurred (ISE Buffer, Saline, Cuvette Wash or Cuvette Conditioner). The operator must replenish the deficient consumable and wait for the ADVIA 1800 system to re-establish communication with the VersaCell X3 system.  This process may take several minutes, but eventually communication will automatically be re-established. A mechanical jam occurred. The Dilution Pipetting Probe (DPP) may jam in the interface wheel due to a power failure or unexpected error condition.  In this case, the start up order of instruments is important. To recover from this type of jam, log off and log back on to the ADVIA 1800 system to make sure the DPP clears the interface wheel before continuing.  Result Time Out Setting The Result Time Out setting controls how long the VersaCell X3 system waits to receive a result before marking a sample with an error. This number should be set between 12-15 minutes if no reflexive or re-run tests are configured, or 25-30 minutes if reflexive or re-run tests are configured.  The default is 30 minutes. Add-On Order Delay The Add-On Order Delay setting controls how long the VersaCell X3 system waits after the original test orders were sent to the ADVIA 1800 system to send additional test orders. If no delay is set and the add-on orders are sent while the original orders are still processing, then the add-on orders are rejected by the ADVIA 1800 system.  The default is 15 minutes. Select Next to continue. The steps in the tube journey include: The robotic arm scans the tube barcode and transfers the tube to the interface wheel The VersaCell X3 system sends the order to the ADVIA 1800 system The ADVIA 1800 Dilution Probe (DPP) aspirates sample from the tube on the interface wheel The tube is returned to a drawer by the robotic arm The results are sent from the ADVIA 1800 system to the VersaCell X3 system, and then to the LIS Tube Journey See the VersaCell X3 solution with ADVIA 1800 system connectivity in action.   Select the play arrow to begin the video.    When complete, select the X in the upper-right-hand corner to close the window and continue.   Startup features unique to the VersaCell X3 solution with ADVIA 1800 chemistry system connectivity: From the ADVIA 1800 software, the Outside Analyze option must be selected from the Start Conditions window. The ADVIA 1800 Host must be on for results to transfer to the VersaCell X3 system. On the VersaCell X3 Home screen, the ADVIA 1800 system status remains "Not Connected" until the software is started and the Outside Analyze Start option is selected.   Startup Learn about the startup process. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90008343/VCX3_1800_STARTUPa/VCX3_1800_STARTUPa.htmHTML5 File:/content/generator/Course_90008343/VCX3_1800_STARTUPa_HTML5/index.htmlPDF File: Controls: Control samples should be placed on the ADVIA 1800 system and processed using the Start Conditions window in the ADVIA 1800 software. Unresulted control test orders do not display on the VersaCell X3 Test Results screen.  The test appears on the VersaCell X3 system Test Results screen when it results. The operator must monitor the status of in progress control test orders from the ADVIA 1800 RealTime Monitor screen. Patients: Patient samples may be loaded in a VersaCell X3 system drawer or loaded directly on the ADVIA 1800 system. The VersaCell X3 Test Results screen will display orders and results for tests ordered from the LIS. The VersaCell X3 Test Results screen will display only results for tests ordered from the ADVIA 1800 software.   Manual Orders Learn how the system processes manual test orders. If a test order is manually ordered on an ADVIA 1800 system, you can either: Manually load the tube on the ADVIA 1800 system. OR Load the tube in a VersaCell X3 system drawer and then use the Resend button on the Samples screen to send the tube to the ADVIA 1800 system interface wheel. Tests ordered manually at the ADVIA 1800 system are not displayed on the VersaCell X3 system. Only results are displayed. The VersaCell X3 system sends test results to the LIS. When complete, select the X in the upper-right corner to close the window and continue.   Repeat and Reflex Tests Learn how the system processes repeat and reflex tests. The ADVIA 1800 Chemistry system will run repeat and reflex testing on the original aliquot for all samples except for electrolytes.  Electrolyte samples are pipetted exclusively from primary tubes.  If a repeat or reflex test is ordered for an electrolyte on a tube on the VersaCell X3 system, the operator can use the Resend button on the VersaCell X3 system Samples screen to have the robotic arm bring the tube back to the interface wheel.  Once the test has completed, the results for the repeat/reflex tests will be sent to the VersaCell X3 system. The Test Results screen does not display interim information for the sample before it results. The VersaCell X3 system sends the results to the LIS. When complete, select the X in the upper-right corner to close the window and continue.   Causes of common errors with the ADVIA 1800 system connection include: Assay Errors: Missing reagent Problems with the reagents Sample Errors: Insufficient sample Sample with integrity errors When ADVIA 1800 system assay and sample errors post on the VersaCell X3 system, resolve them following the standard procedures for resolving these errors.  Refer to the VersaCell X3 System Troubleshooting Online Training course and the VersaCell X3 Solution Operator's Guide for more information. Error Stopped Learn about the Error Stopped system status. The ADVIA 1800 system status will display "Error Stopped" or "Consumable Stopped" under the following conditions: The ADVIA 1800 emergency stop was selected. A consumables error occurred (ISE Buffer, Saline, Cuvette Wash or Cuvette Conditioner). The operator must replenish the deficient consumable and wait for the ADVIA 1800 system to re-establish communication with the VersaCell X3 system.  This process may take several minutes, but eventually communication will automatically be re-established. A mechanical jam occurred. The Dilution Pipetting Probe (DPP) may jam in the interface wheel due to a power failure or unexpected error condition.  In this case, the start up order of instruments is important. To recover from this type of jam, log off and log back on to the ADVIA 1800 system to make sure the DPP clears the interface wheel before continuing.      When complete, select the X in the upper-right corner to close the window and continue. Result Time Out and Add On Order Delay Learn when the VersaCell X3 system expects to receive results from the ADVIA 1800 system. Result Timeout Setting The Result Timeout setting controls how long the VersaCell X3 system waits to receive a result before marking a sample with an error. This number should be set between 12-15 minutes if no reflex or rerun tests are configured, or 25-30 minutes if reflex or rerun tests are configured.  The default is 30 minutes. Add On Order Delay The Add On Order Delay setting controls how long the VersaCell X3 system waits after the original test orders were sent to the ADVIA 1800 system to send additional test orders. If no delay is set and the add on orders are sent while the original orders are still processing, then the add on orders are rejected by the ADVIA 1800 system.  The default is 15 minutes. To access both of these settings, from the VersaCell X3 software, select the Setup button from the Command bar and then select the VersaCell tab.   When complete, select the X in the upper-right corner to close the window and continue.